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This document serves to verify the immunization status of students at Minot State University, including requirements for measles, mumps, rubella (MMR), meningococcal disease, and tuberculosis screening.
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How to fill out immunization and tuberculosis screening
How to fill out Immunization and Tuberculosis Screening Documentation
01
Gather all necessary personal information including name, date of birth, and contact information.
02
Locate your previous immunization records, if available.
03
Fill out the section identifying the specific vaccines received and their dates.
04
Include details regarding any tuberculosis tests conducted, such as the type of test and results.
05
Ensure to have your healthcare provider review and sign the form.
06
Submit the completed documentation to the appropriate authority or institution.
Who needs Immunization and Tuberculosis Screening Documentation?
01
Individuals entering school or daycare.
02
Healthcare workers.
03
Travelers to certain countries.
04
Individuals applying for certain jobs or programs that require vaccinations.
05
Anyone undergoing a health evaluation or screening process.
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How do I document my TB test results?
At time of reading: Name and signature of person reading test. Date and time test read. Exact number of mm of induration (if no induration, document "0" mm) Interpretation of reading (i.e., positive or negative, based on individual's risk factors)
What does a TB program consist of?
The tuberculin skin test (TST) is a screening test for TB. Its process has two parts: the placement, and the reading. An alternative to the TST is a blood test, called the Quantiferon-Tb Gold test. Both this test and the TST are screening tests.
How do I record TB test results?
TB is caused by bacteria (Mycobacterium tuberculosis) and it most often affects the lungs. TB is spread through the air when people with lung TB cough, sneeze or spit. A person needs to inhale only a few germs to become infected. Every year, 10 million people fall ill with tuberculosis (TB).
What is the screening test for TB?
This test is seeing if your immune system reacts, or has made an antibody, to tuberculosis. A positive test indicates you likely have either a latent TB infection or active TB disease. People who had a TB vaccination might get a positive test even if they have no infection.
What does TB screening include?
Reading Do not record as “positive” or “negative”. Only record measurement in millimetres. If no induration, record as 0 mm.
What shows in a TB test?
The TB Program provides anti-tuberculosis medications to local health departments and medical providers for the treatment of TB disease. Additionally, preventive medications for individuals with TB infection are provided to local health departments or other medical providers.
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What is Immunization and Tuberculosis Screening Documentation?
Immunization and Tuberculosis Screening Documentation is a formal record that verifies an individual's immunization status and results of tuberculosis screening tests, typically required for school, healthcare employment, or other community health initiatives.
Who is required to file Immunization and Tuberculosis Screening Documentation?
Individuals such as students entering educational institutions, healthcare workers, and certain community service participants are often required to file this documentation to prove compliance with health regulations.
How to fill out Immunization and Tuberculosis Screening Documentation?
To fill out the documentation, individuals must provide personal details such as name, date of birth, and the dates and types of immunizations received, along with results from tuberculosis screening tests and the signature of a healthcare provider.
What is the purpose of Immunization and Tuberculosis Screening Documentation?
The purpose of this documentation is to ensure that individuals are protected against vaccine-preventable diseases and to control and prevent the spread of tuberculosis within communities.
What information must be reported on Immunization and Tuberculosis Screening Documentation?
Necessary information includes the individual's personal identification details, dates and types of vaccinations received, TB screening results, and the healthcare provider's information who administered the vaccines or tests.
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